How to Start HRT Online: A Step-by-Step Guide
Starting hormone therapy shouldn’t be confusing or gatekept. At True U, we use the informed consent model, which means adults in most states don’t need a letter from a therapist or any prior medical documentation to begin care.

Starting hormone therapy shouldn’t be confusing or gatekept
Step 1: Schedule Your Appointment
Choose your provider and book online in just a few clicks. Most patients are seen within 7–10 days.
Step 2: Complete Intake Forms
Complete your HIPAA-compliant and secure digital forms to share your goals, health history, and what you’re hoping for from hormone therapy. Pay a 10% deposit in order to reserve your appointment.
Step 3: Meet Your Provider
In a secure video appointment, your provider will review your history, answer questions, and recommend a personalized plan — including lab work and medication options.
Step 4: Complete Lab Work
We’ll order bloodwork to safely start your therapy. You can get it done at home, at LabCorp, or at a walk-in clinic near you.
Step 5: Begin Hormone Therapy
Once your lab results are in and everything looks good, your prescription will be sent to your preferred pharmacy or delivered to your home.
✓ No monthly membership fees
✓ HSA/FSA eligible
✓ Compassionate, trans-affirming providers
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True U Clinic is an online hormone therapy clinic that provides safe and medically supervised hormone therapy to the trans and non-binary community. We utilize modern-day technology and the most up-to-date clinical practices. Our goal is to provide this service at an accessible price, all while treating our clients with compassion and respect.
We are dedicated to providing a personalized experience and high-quality care through the convenience of virtual care. Get started with care for exactly who you are, wherever you are, today!